Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Code effective Jan 01, 2026
HCPCS Section
Procedures/Professional Services (Temporary Codes)
G0438 is a valid 2026 HCPCS code meaning Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit or (Ppps, initial visit) for short. HCPCS G0438 has been effective since 01/01/2026 and applies to Medical care.
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HCPCS Level II Code Section G - Procedures/Professional Services (Temporary Codes) |
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| HCPCS Code | G0438 |
|---|---|
| Description |
Long description:
Short description: |
| HCPCS Pricing indicator |
11 - Price established using national RVU's
|
| Multiple pricing indicator |
A - Not applicable as HCPCS priced under one methodology
|
| Coverage code | C - Carrier judgment |
| BETOS2 code | M5D - Specialist - other |
| HCPCS Action code | N - No maintenance for this code |
| Type of service | 1 - Medical care |
| Effective date | Effective Jan 01, 2026 |
| Date added | Added Jan 01, 2011 |
1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).
2 BETOS stands for “Berenson-Eggers Type Of Service”
HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026
CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.